|
79/3/2025
<br /> E(MM/DD/YYYY)
<br /> A�" CERTIFICATE OF LIABILITY INSURANCE
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME: IMA Certs Team
<br /> IMA, Inc. -Salt Lake City PHONE FAX
<br /> 95 S State Street A/c No Ext: .JC,NO):
<br /> E-MSuite 1300 ADDRESS: certificates@imacorp.com
<br /> Salt Lake City UT 84111 INSURER(S)AFFORDING COVERAGE NAIC#
<br /> License#:PC-1210733 INSURERA:WCF Select Insurance Company 21865
<br /> INSURED FRANCOV-01 INSURERB:WCF Mutual Insurance Company 10033
<br /> FranklinCovey Co.
<br /> 13907 S. Minuteman Dr., Suite 500 INsuRERc:Zurich American Insurance Company 16535
<br /> Draper UT 84020 INSURERD: Steadfast Insurance Company 26387
<br /> INSURER E:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1014720496 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICYNUMBER MM/DD MM/DD
<br /> C X COMMERCIAL GENERAL LIABILITY CP0636186600 9/1/2025 9/1/2026 EACH OCCURRENCE $1,000,000
<br /> CLAIMS-MADE � OCCUR PREMISES DAMAGE TO
<br /> PREMISES Ea occurrence)
<br /> ccurrence $1,000,000
<br /> MED EXP(Any one person) $15,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY PRO ❑
<br /> JECT LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> X
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY CP0636186600 9/1/2025 9/1/2026 COMBINED SINGLE LIMIT $1,000,000
<br /> Ea accident
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> X HIRED X NON-OWNED PROPERTYDAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> C X UMBRELLALIAB X OCCUR AUC636187100 9/1/2025 9/1/2026 EACH OCCURRENCE $25,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $25,000,000
<br /> DED X RETENTION$1 n nnn $
<br /> A WORKERS COMPENSATION 4094950 9/1/2025 9/1/2026 X PER OTH-
<br /> B AND EMPLOYERS'LIABILITY Y/N 4095019 9/1/2025 9/1/2026 STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICE R/M EMBER EXCLUDED? ❑ N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> C Automobile Physical Damage CP0636186600 9/1/2025 9/1/2026 See Below
<br /> C Errors&Omissions EOC429581200 9/1/2025 9/1/2026 See Below
<br /> D Cyber Liability SPR391120600 9/1/2025 9/1/2026 See Below
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
<br /> Named Insured Includes: FranklinCovey Co., FranklinCovey Canada Ltd., FranklinCovey Client Sales, Inc., FranklinCovey Travel, Inc.and Franklin
<br /> Development.
<br /> Workers Compensation Policy#4095019 applies to the State of Utah only,subject to the policy terms and conditions.
<br /> Workers Compensation Policy#4094950 applies to Other States excluding ND,OH,WA&WY,subject to the policy terms and conditions.
<br /> Automobile Physical Damage: Comprehensive Deductible$1,000; Collision Deductible$1,000.
<br /> Errors&Omissions: Each Claim$5,000,000;Aggregate$5,000,000; Retention$100,000; Retroactive Date 3/16/2006.
<br /> Cyber Liability: Each Claim$5,000,000;Aggregate$5,000,000; Retention$100,000;
<br /> Certificate Holder Includes:City of Santa Ana,its officers,officials,employees and volunteers.Certificate Holder and all other parties required by the contract
<br /> See Attached...
<br /> CERTIFICATE HOLDER �APED CANCELLATION
<br /> Nguyen at 4:49 pm,Dec 17,2025
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> City of Santa Ana
<br /> 20 Civic Center Plaza, M-24 Tu Tran T�it.11y,i Y by
<br /> Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE
<br /> T.Tr.U25.i2.1]
<br /> Nguyen 16:5013-08 00'
<br /> @ 1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
|